| NPI | 1225227135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EUGENE GEWE President 618-327-3231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046006845) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2008-05-08 |